SAN FRANCISCO GENERAL HOSPITAL

Issue: Theft of Other/Unspecified Information

Outcome: Data not available.

Issue: Based on interview and record review, the facility failed to ensure the confidentiality of Patient A's protected health information (PHI) when Staff 1 reviewed Patient A's Lifetime Care Record, (LCR - electronic medical record) without authorization and Staff 1 shared…

Outcome: Deficiency cited by the California Department of Public Health: Health & Safety Code 1280

Issue: Based on interview and record review, the Hospital failed to protect the confidentiality of Patient A's medical information when Staff 1, without authorization or business justification, reviewed Patient A's electronic health record and released this information to unauthorized recipient(s).Findings:Please refer…

Outcome: Deficiency cited by the California Department of Public Health: Patients' Rights

Issue: Data not available.

Outcome: Deficiency cited by the California Department of Public Health: Health & Safety Code 1280

Issue: Based on interview and record review, the hospital failed to report the loss of confidential medical information within five business days of discovering the loss.Findings:During an interview on 12/4/13 at 9:00 AM, the hospital's Privacy Officer (PO) stated that on…

Outcome: Deficiency cited by the California Department of Public Health: Health & Safety Code 1280

Issue: Based on interview and record review, the hospital failed to protect confidential records pertaining to a patient's care during a hospital stay when a Patient List was stolen which contained confidential medical information for 25 patients. This had the potential…

Outcome: Deficiency cited by the California Department of Public Health: Patients' Rights

Issue: Based on interview and record review, the facility failed to ensure the confidentiality of Patient 1's Lifetime Care Record (LCR - medical record, electronic chart) when four staff members accessed Patient 1's LCR without need and without authorization.Findings:Patient 1 was…

Outcome: Deficiency cited by the California Department of Public Health: Health & Safety Code 1280

Issue: Based on interview and record review, the facility failed to safeguard the contents of Patient 1's medical record (LCR - Lifetime Care Record) when four staff members accessed the LCR without need and without authorization.Findings:Please refer to findings on Health…

Outcome: Deficiency cited by the California Department of Public Health: Medical Record Availability

Issue: The Condition of Participation for Patient Rights was not met when the cumulative effect of the deficiencies identified resulted in actual harm to Patient 1 and potential harm for all patients within the facility as evidenced by the following: 1.…

Outcome: Deficiency cited by the California Department of Public Health: PATIENT RIGHTS

Issue: Based on interview and document review the hospital Quality Assessment Performance Improvement (QAPI) program failed to set priorities for it performance improvement activities that focused on improving security for patients that go missing. The QAPI program had identified issues with…

Outcome: Deficiency cited by the California Department of Public Health: QUALITY IMPROVEMENT ACTIVITIES